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Master Thesis

Le dispositif intra-utérin au cuivre comme moyen de contraception d’urgence

Abstract : Introduction: there are two kinds of emergency contraception (EC): hormonal EC (levonorgestrel or ulipristal acetate) and non-hormonal EC (copper IUD). The use of hormonal EC is common while non-hormonal EC (copper IUD) is very limited even though its efficacy rate is more than 99% and instates a long-term contraception.Objectives: the objectives of this study were to assess women's knowledge of non-hormonal EC and to identify hindrances to its wider use. Population and method: our study was quantitative , observational, descriptive and prospective. Women consulting in 4 family planning and abortion centers in the Paris region participated in this study. The data collection was done via self-administered paper-based questionnaires from May to October 2018. Results: we collected 397 analyzable questionnaires out of 467. All women in our study were aware of hormonal EC (100%) but only 62 (15.6%) women knew that copper IUD could be used for EC. Healthcare professionals were the main channel of information about non-hormonal EC. The main impediments to using copper IUD as EC were refusal of a foreign body, fear of pain during or after IUD insertion, and women's lack of knowledge about copper IUD for EC.Conclusion: our study shows the importance of further expanding information about EC and particularly non-hormonal EC. It also identifies several hindrances to its wider use by women. Therefore it would be interesting to study whether there are any obstacles to its dissemination and use by healthcare professionals.
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Camille Reynier. Le dispositif intra-utérin au cuivre comme moyen de contraception d’urgence. Gynécologie et obstétrique. 2019. ⟨dumas-02379558⟩

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